48
Figure 13. Clinical Decision Pathway for Patients With Stable
Chest Pain (or Equivalent) Symptoms With Prior MI,
Prior Revascularization, or Known CAD on Invasive
Coronary Angiography or CCTA, Including Those With
Nonobstructive CAD
Treatment
Persistent symptoms
Intensification of preventive
strategies and option to
defer testing
(1)
Stable chest pain + known CAD*
Nonobstructive
CAD
(<50% stenosis)
CCTA ± FFR-CT
(FFR-CT for ≥40%–90% stenosis)
OR
stress testing
(2a)
FFR-CT ≤0.8
OR
moderate-severe ischemia
(2a)
Invasive coronary
angiography with
FFR or IFR
(1)
GDMT according to
SIHD guideline
(1)
Invasive coronary
angiography
(1)
CCTA (for selected prior
revascularization)
§
(2a)
See INOCA
pathway
(2a)
YES
YES NO
